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Jul 29 2011

2011 Potpourri XXIX

By Kevin Roche Commentary No Comments
Our current Potpourri contains nuggets on use of robotic surgery for prostate cancer, the effect of mandated rebates in Medicare Part D on patient costs, FDA guidance on device modifications,…
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Jul 28 2011

2012 Medicare Payment Rules

By Kevin Roche Commentary No Comments
Each year CMS issues proposed, and ultimately final, rules relating to reimbursement for various categories of providers in the next year. The 2012 rules have a wealth of background and…
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Jul 27 2011

National Variations in Medicaid Spending

By Kevin Roche Commentary No Comments
A lot of the work on geographic variation in spending has been done on the Medicare population. New research published in Health Affairs examines variation in Medicaid spending for the…
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Jul 26 2011

Early Massachusetts Experience With Global Payment

By Kevin Roche Commentary No Comments
Research published in the New England Journal of Medicine examines early results from the Massachusetts Blue Cross plan's global budgeting program, finding very modest health spending reductions and small changes…
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Jul 25 2011

Latest NVCA Numbers

By Kevin Roche Commentary No Comments
The National Venture Capital Association released statistics regarding second quarter of 2011 venture capital activity. While some aspects of exits, fund-raising and investing have improved from the depth of the…
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Jul 22 2011

2011 Potpourri XXVIII

By Kevin Roche Commentary No Comments
The dog days of summer bring yet another scorching hot Potpourri with a smorgasbord of data, including metabias in randomized clinical trials, the practice of defensive medicine, the status of…
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Jul 21 2011

Regulation of Mobile and Wireless Health Technology

By Kevin Roche Commentary No Comments
The FDA released a draft guidance on how it will regulate mobile and wireless healthcare devices and applications, which to a large extent follows proposed guidance from the mHealth Regulatory…
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Jul 20 2011

Most Costly Conditions

By Kevin Roche Commentary No Comments
An AHRQ Statistical Brief looks at the most costly health conditions for 2008. They are about what you would expect, with heart disease and cancer leading the way. Women and…
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Jul 19 2011

Analysis of US Health Spending

By Kevin Roche Commentary No Comments
A recent report from the NIHCM details national spending, showing that a few patients account for a lot of costs and that hospitals are the largest source of spending growth.…
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Jul 18 2011

Hospital-Acquired Conditions

By Kevin Roche Commentary No Comments
AHRQ releases a Statistical Brief on Hospital-Acquired Conditions, which are a focus of quality improvement, including unreimbursed never events. The Brief details types of conditions across several payers, including Medicare.
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Jul 15 2011

2011 Potpourri XXVII

By Kevin Roche Commentary No Comments
A mid-summer's evening (or weekend) Potpourri, but no heated discussion here, just soothing nuggets of knowledge, including use and misuse of PCI, how to measure blood pressure, CMS and telemedicine,…
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Jul 14 2011

Drug Week–Reports Part IV

By Kevin Roche Commentary No Comments
Our final drug report post discusses releases from Express Scripts, the Pharmacy Benefit Management Institute and ESI's PMSI division, which focuses on workers' compensation pharmacy. Express Scripts emphasizes behavioral aspects…
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Jul 13 2011

Drug Week–Reports Part III

By Kevin Roche Commentary No Comments
Today's drug trend reports come from Medco and CVS Caremark, two of the largest pharmacy benefit managers. Both experienced relatively low overall trends and both anticipate specialty drug management being…
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Jul 12 2011

Drug Week–Reports Part II

By Kevin Roche Commentary No Comments
Our next set of drug reports deals with specialty drugs, the most expensive and fastest growing category, and one which has bedeviled payers but many of the drugs are covered…
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Jul 11 2011

Drug Week–Part I of Drug Reports

By Kevin Roche Commentary No Comments
The first analysis of a weeklong series on recent reports related to aspects of the pharmaceutical industry covers IMS' report giving projections on aspects of global drug use and spending…
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About this Blog

Kevin RocheThe Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at khroche@healthy-skeptic.com.

Healthy Skeptic Podcast

Research

This is an outstanding report on total global drug spending and trends, with projections out to 2025.  It helps you understand this important area of health care, which does much...
June 1, 2021
The Office of the Actuary annual report on national health spending, covering 2018.
December 7, 2019
2019 Kaiser Family Foundation Employer Health Benefits Report
October 1, 2019
MedPAC 2019 Report to Congress
June 18, 2019

Headlines

Press Ganey, which provides market research for health plans and providers , is being purchased by health care survey firm Qualtrics for $6.75 billion.  Both companies claim this is all...
October 6, 2025
Another weirdly named company, Thyme Care, spices things up by raising a fresh $97 million in capital to support its cancer care managment business.
September 25, 2025
Sometimes companies change their name, I have no idea why and it often seems goofy.  CapitalRx, which is a pharmacy benefit manager, with aspirations to be a broader technology provider...
September 25, 2025
Innovacer, a health care technology company that claims extensive use of artificial intelligence, is acquiring Story Health, which helps manage patients with chronic care conditions and who need specialty care.
September 18, 2025

Tags

Access (89) ACO (165) Care Management (268) Chronic Disease (216) Comparative Effectiveness (81) Consumer Directed Health (71) Consumers (514) Devices (168) Disease Management (149) Drugs (605) EHRs (145) Elder Care (149) End-of-Life Care (97) FDA (85) Financings (1841) Genomics (80) Government (357) Health Care Costs (1428) Health Care Quality (616) Health Care Reform (1227) Health Insurance (1116) Health Insurance Exchange (162) HIT (478) HomeCare (76) Hospital (490) Hospital Readmissions (79) Legislation (78) M&A (1723) Malpractice (84) Meaningful Use (105) Medicaid (334) Medical Care (346) Medicare (607) Medicare Advantage (80) Mobile (89) Pay For Performance (92) Pharmaceutical (211) Physicians (569) Providers (252) Regulation (72) Repealing Reform (133) Telehealth (79) Telemedicine (325) Wellness and Prevention (316) Workplace (117)

About This Blog

The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry through Roche Consulting, LLC. Mr. Roche is available to assist health care companies through consulting arrangements and may be reached at khroche@healthy-skeptic.com. © Roche Consulting, LLC. Terms of Use.

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